Individual
JESSICA ERIN MINER MEREDITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 METROPOLITAN DR, DURHAM, NC 27713-2547
(615) 591-3244
Mailing address
1142 METROPOLITAN DR, DURHAM, NC 27713-2547
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205353125
—
NC
Enumeration date
08/23/2017
Last updated
09/08/2021
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